
Does orphan drug status expire?
Orphan Drugs receive a 7-year period of exclusivity from product approval - effective on the date of FDA approval of a marketing application. For seven years, FDA will not approve a subsequent sponsor of the same drug for the same disease (except as otherwise provided).
What does orphan status of a drug mean?
The Orphan Drug Designation program provides orphan status to drugs and biologics for rare diseases that meet certain criteria. Orphan drug designation provides incentives including: Tax credits for qualified clinical trials. Exemption from user fees. Potential for seven years of market exclusivity after approval.
Is orphan drug designation a big deal?
Orphan Drug Designation Awardees are Granted the Following Benefits from the FDA: Tax credits of 50% off the clinical drug testing cost awarded upon approval. Eligibility for market exclusivity for 7 years post approval.
Do orphan drugs get approved faster?
No formal link between speed of approval and orphan designation.
Can you lose orphan drug designation?
The sponsor of a designated orphan medicine can request removal of its orphan designation from the European Commission's Community register of orphan medicinal products at any time.
What qualifies an orphan?
An orphan is a child whose parents have died. The term is sometimes used to describe any person whose parents have died, though this is less common. A child who only has one living parent is also sometimes considered an orphan.
What's the rarest disorder?
Many rare diseases appear early in life, and about 30% of children with rare diseases will die before reaching their fifth birthdays. With only four diagnosed patients in 27 years, ribose-5-phosphate isomerase deficiency is considered the rarest known genetic disease.
How long does it take for FDA to approve an orphan drug?
The sponsor can initiate the request for Fast Track designation anytime during the drug development process. The FDA will review and make a decision within 60 days from the request.
What is the difference between orphan drug designation and approval?
The orphan designation is part of the approval process Submitting an orphan designation request is unrelated to the drug approval process. In fact, the orphan application can be filed anytime in the drug development process before NDA/BLA submission, even prior to IND filing.
What happens after orphan drug designation?
Orphan drug designation qualifies sponsors for incentives including: Tax credits for qualified clinical trials. Exemption from user fees. Potential seven years of market exclusivity after approval.
How long does it take drugs to get approved?
There is no typical length of time it takes for a drug to be tested and approved. It might take 10 to 15 years or more to complete all 3 phases of clinical trials before the licensing stage. But this time span varies a lot. There are many factors that affect how long it takes for a drug to be licensed.
Why do orphan drugs cost so much?
Due to a much smaller patient pool and the higher cost of launching on the market, orphan medicines appear less profitable for the pharmaceutical companies to invest in, as the unit cost is significantly higher, compared to more commonly prescribed drugs.
What is an example of an orphan drug?
For example, ibuprofen is an orphan drug when used to treat the rare disease patent ductus arteriosus in neonates (orphans or not).
What is the difference between orphan drug designation and approval?
The orphan designation is part of the approval process Submitting an orphan designation request is unrelated to the drug approval process. In fact, the orphan application can be filed anytime in the drug development process before NDA/BLA submission, even prior to IND filing.
What is orphan drug exclusion?
This amendment included the Orphan Drug Exclusion, which specifies that orphan drugs are not considered covered outpatient drugs for those entity types added. Visit the HRSA OPA website for additional information.
What is orphan drug give example?
An orphan drug can be defined as one that is used to treat an orphan disease. For example, haem arginate, used to treat acute intermittent porphyria, variegate porphyria, and hereditary coproporphyria [12], is an orphan drug.
How to designate a drug as an orphan drug?
In order to designate a product as an orphan drug, the scientific rationale portion of the designation application must include enough information to establish a medically plausible basis for expecting the drug to be effective in the rare disease. The scientific rationale is best supported by clinical data of the drug in treating, preventing or diagnosing the rare disease; however, in absence of human data, the application for orphan drug designation may be satisfactorily supported with preclinical data using the drug in a relevant animal model for the human disease. In absence of human data and when a relevant animal model does not exist, the OOPD may consider a combination of alternative data that includes the pathogenesis of the disease, a clear description of the drug and its mechanism of action specific to the disease and supporting in vitro data. Animal toxicology data describing the safety of the drug in animals do not provide efficacy data and are not generally relevant in supporting the scientific rationale. Only in rare situations, where there is an absence of both human data and a relevant in vivo model, will FDA consider a combination of alternative data that include the pathogenesis of the disease, a clear description of the drug and its mechanism of action specific to the disease and supporting in vitro data.
How to send an orphan drug request?
If submitting a hard copy of the request rather than sending it electronically by email, an orphan drug designation request can be submitted on a single compact disk (CD) with a signed cover letter attached. It is preferred that it be sent by regular or express mail. An orphan drug designation request cannot be submitted by any other physical media, such as a thumb drive. If the submission is sent electronically by email during the public health emergency, only one copy will be required. Additional information and the address for sending the orphan drug designation request to OOPD can be found at Corresponding with OOPD Drug Designation Programs.
What is the FDA 4035?
The FDA Orphan Designation Request Form (FDA 4035) is designed to assist sponsors in providing the required content of the orphan drug designation request completely and succinctly. A resource for sponsors in compiling the orphan drug request is the Recommended Tips for Creating an Orphan Drug Designation Application webinar and PowerPoint slides which can be found at Education and Media Resources for Orphan Designation Program .
How to send an email to an orphan drug?
When transmitting information to the Orphan Drug Designation Program via email, please utilize the mailbox [email protected]. The use of automated read receipt is recommended to avoid the need to call to verify receipt of the email. Sponsors and others who plan to email information to FDA that is considered to be private, sensitive, proprietary, or commercial confidential are strongly encouraged to send it from an FDA secured email address so the transmission is encrypted. The OOPD will assume that the addresses of emails received or email addresses provided as a point of contact are FDA secure when responding to those email addresses.
What is OOPD in medical terms?
During this public health emergency associated with the COVID-19 pandemic, the Office of Orphan Products Development (OOPD) is providing sponsors with increased flexibility for submission of orphan drug designation requests and related submissions (amendments, annual reports, etc.). During this public health emergency, orphan drug designation, humanitarian use device designation, and rare pediatric disease designation requests and submissions may be submitted electronically by email to the OOPD.
What is OOPD in the absence of human data?
In absence of human data and when a relevant animal model does not exist, the OOPD may consider a combination of alternative data that includes the pathogenesis of the disease, a clear description of the drug and its mechanism of action specific to the disease and supporting in vitro data.
When a range of estimates exists, does the FDA accept only the largest estimate?
When a range of estimates exists, FDA accepts only the largest estimate unless a justification is provided why another estimate is more accurate. If the drug is intended for diagnosis or prevention of a rare disease or condition, provide the estimated number of people to whom the drug will be administered annually.
What are the benefits of being awarded orphan drug status?
There are many benefits to having ODS. In addition to eligibility for grant funding, regular input from the OOPD, and qualification for rapid FDA approval processes, other benefits include:
Who gives out orphan drug status?
The FDA is an organization with many offices. Each office has different responsibilities — for example, the FDA Center for Devices and Radiological Health has the responsibility of making sure that people have access to high-quality medical devices and radiation-releasing products that are safe and effective.
How expensive are orphan drugs for patients?
ODs can be expensive because manufacturers have control over prices, and individuals are often willing to pay for a treatment option for their rare medical conditions. Some examples of costly ODs include:
What counts as a ‘rare disease’?
These medical conditions are usually serious or life-threatening. Currently, there are an estimated 7,000 rare diseases.
Why is it important to contact the FDA before applying for an IND?
Contacting the FDA OOPD and applying for ODS is an important first step for manufacturers before applying for an Investigational New Drug ( IND) application. IND approval is necessary for manufacturers to transport ODs across state lines for research purposes.
What is the PDUFA exemption?
Prescription Drug User Fee Act (PDUFA) exemption: In 1992, the U.S. Congress created the PDUFA, which allowed the FDA to collect fees from manufacturers. The fees are important in speeding up the medication approval process. However, if the manufacturer obtains ODS, the FDA will waive the NDA or BLA application fee, which can be over $2 million.
How does the FDA grant help manufacturers?
Manufacturers can receive funding through grants. The FDA provides grants through the Orphan Product Grants Program. The OOPD provides funding to help manufacturers conduct safety and effectiveness studies that have a high likelihood of resulting in FDA approval.

Orphan Drug Designation List
- The Orphan Drug Designation List was updated and developed using the methodology referenced in About the Orphan Drug List. It should be used to govern the quarter July 1 to September 30, 2022. Orphan Drug Designation List Governing July 1 to September 20, 2022 (XLSX - 452 KB)
About The Orphan Drug List
- HRSA develops this list and updates it quarterly. It is based upon specific fields captured from the list of orphan drug designations provided by the U.S. Food and Drug Administration (FDA) Office of Orphan Products Development (OOPD). The list posted should be the source used by 340B stakeholders to ensure compliance with the orphan drug exclusion. Covered entities may need t…
Program Integrity
- 340B Drug Pricing Program covered entities must ensure program integrity and maintain accurate records documenting compliance with all 340B Program requirements. Covered entities are subject to audit by manufacturers or the federal government. Failure to comply may make the 340B covered entity liable to manufacturers for refunds of discounts obtained. Learn more: Prog…
What Counts as A ‘Rare Disease’?
- A rare disease is a condition that affects fewer than 200,000 people in the U.S. These medical conditions are usually serious or life-threatening. Currently, there are an estimated 7,000 rare diseases. ODs are potential treatment options for genetic conditions. Other rare medical conditions includecertain infections, autoimmune diseases, and cancer...
Who Gives Out Orphan Drug Status?
- The FDA is an organization with many offices. Each office has different responsibilities — for example, the FDA Center for Devices and Radiological Healthhas the responsibility of making sure that people have access to high-quality medical devices and radiation-releasing products that are safe and effective. For ODs, the mission of the FDA Office of Orphan Products Development (OO…
How Are Orphan Drugs developed?
- Contacting the FDA OOPD and applying for ODS is an important first step for manufacturers before applying for an Investigational New Drug (IND) application. IND approval is necessary for manufacturers to transport ODs across state lines for research purposes. Throughout the OD development process, manufacturers will continue to stay in touch with the FDA, which can prov…
What Are The Benefits of Being Awarded Orphan Drug Status?
- There are many benefits to having ODS. In addition to eligibility for grant funding, regular input from the OOPD, and qualification for rapid FDA approval processes, other benefits include: 1. Prescription Drug User Fee Act (PDUFA) exemption: In 1992, the U.S. Congress created the PDUFA, which allowed the FDA to collect fees from manufacturers. The fees are important in sp…
How Expensive Are Orphan Drugs For Patients?
- ODs can be expensivebecause manufacturers have control over prices, and individuals are often willing to pay for a treatment option for their rare medical conditions. Some examples of costly ODs include: 1. Danyelza: Danyelza (naxitamab) treats neuroblastoma, or immature nerve cells in the bone marrow. This cancer treatment option costs over $20,000 per vial. 2. Myalept:Myalept (…